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HomeMy WebLinkAboutDrake Haglan - Insurance CertificateClient#: 14742 DRAKEHAGI ACORD�, CERTIFICATE OF LIABILITY INSURANCE IY DATE (M 10/10//2016 2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the-terms and conditions -of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Dealey, Renton & Associates P. O. Box 12675 Oakland, CA 94604 -2675 510465- 090'- David C. Eckman CONTACT NAME: -Doris A. Chambers PHONE vc No Evt : 510 465 -3090 Luc No :' 510 452 -2193 ' E-MAIL - ADDRESS: dchamb_ ers Beale renton,com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Associated Indemnity Corp. 21865 INSURED Drake, Haglan & Associates, Inc. 11060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURER B: American Automobile Ins. Co. 21849 INSURER C: XL Specialty Insurance Co. 37885 INSURER D.:. 0/23 /2016 INSURER E EACH OCCCURRENCE INSURER F: COVERAGES CERTIFICATE NUMBER REVISION NUMBER: THIS 19 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF ADD INSR SUB WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM /DD LIMITS A X COMMERCIAL GENERAL LIABILITY X X AZC80912507 0/23 /2016 10/23/2017 EACH OCCCURRENCE $ 2 OOO 000 CLAIMS -MADE OCCUR PREMISES Ea occTu ante $1,000,000 .. MED EXP (Any one person) $10 000 PERSONAL ' &ADVINJURY $2,00.0,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY FXI JECOT [:1 LOC PRODUCTS - COMP /OP AGG $4,000,000 $ OTHER: B AUTOMOBILE LIABILITY X X MZA80320195 10/23/2016 10123/2017 COMBINED citsINCLE LIMIT 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY °DAMAGE Per. acddent $ A X UMBRELLA LIAB X OCCUR X X AZC80912507 10/23/2016 10/2312017 EACH OCCURRENCE $1.000.000 AGGREGATE s2,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) N/A X WZP81035769 10/2312016 10/231201 X PER OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1;000,000 ._,.. _.,..If yes, describe under._ DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 C Professional DPR9907600 10123/2016 10/2312017 $2,000,000 per Claim Liability $4,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS I LOCATIONS) VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space 1s required) GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. RE: Professional Services for On -Call Civil Engineering Design Services Professional Services for On -Call Civil Engineering Design Services Gilroy, CA GENERAL LIABILITY ADDITIONAL INSURED: City of Gilroy, its officers, and representatives; agents and employees. City of Gilroy Attn: _Teresa Mack 7351.Rosanna,Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD CORPORATION. All riahts reserved ACORD'25 (2014/01) 1 of 1 The,ACORD name and logo are registered marks of ACORD #S1841708/M1841494 DAC Additional Insured Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Producer Dealey, Renton & Associates Schedule Name of Person(s) or Organization(s) City of Gilroy Attn: Teresa Mack 7351 Rosanna Street Gilroy, CA 95020 Policy Number AZC80912507 Effective Date 10/23/2016 (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- arising out of your work for that insured by or for SURED in the Business Liability Section of this policy you. 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability All other terms and conditions of the policy apply. City of Gilroy, its officers, and representatives, agents and employees. This Form must be attached to Change. Endorsement when issued after the policy is written. One of the Fireman'sFundtnsurance Companies as named in the policy SeLretar<< ': President AB9067 12 -93 Contains copyrighted'Material of Insurance ServicesOffice, Inc., 1984 Client#: 14742 DRAKEHAGI ACORD., CERTIFICATE OF LIABILITY INSURANCE FDATE (MMIDONYYY) 10/22/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED _ REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to. .. the terms and conditions . of the policy, certain policies may require an endorsement. A statement on this certificate_ does not rights to certificate holder in lieu of. such endorsement(s). PRODUCER Dealey, Renton & Associates P: O: Box 12675 CONTACT - NAME: Doffs A. Chambers PH °NE 510 465 -3090 A/C No Eld : FAX IC No . -510.452 -2193 E -MAIL - ------ ADDRESS: dchambers0dealeyrenton.com Oakland, CA 94604 - 2675- 510 465 -3090 David C. Eckman - INSURERS) AFFORDING COVERAGE NAIC # INSURER A: Associated Indemnity Corp. : 10/23/2015 INSURED INSURER B: American Automobile Ins. Co.' 21849 Drake, Haglan & Associates, Inc. INSURER C, Catlin Insurance Company, Inc. 19518 11060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURER D : INSURER E DEACCMH PREMISESERENTED nce INSURER F: MED EXP (Any one person) $10,000 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUB WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMBS A GENERAL LIABILITY X X AZC80907290 10/23/2015 10/23/2016 OCCURRENCE s2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR DEACCMH PREMISESERENTED nce $1 1000P000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $4,000,000 POLICY X PRO- LOC JECT B AUTOMOBILE LIABILITY X X MZA80315005 10/23/2015 16/23/261 Ee a deOSINCLE LIMIT nt) $100,000,; X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X' PROPERTY DAMAGE Per accident $ HIRED AUTOS X ' NON -OWNED AUTOS $.. - .. A X UMBRELLA LIAB X OCCUR X X AZC80907290 0/2312015 10/23/2016 EACH OCCURRENCE A 000 000 AGGREGATE s2"000,0 0 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? 7 N /.A X WZP81029368 10/2312015 10/23/201 X TO Y LIMIT - OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) If yes, describe under:. DESCRIPTION OF OPERATIONS below _ E.L. DISEASE -- POLICY LIMIT $1,000,000 C Professional AED6911931016 10/23/2015 10/23/2016 _ $2,000,000 per Claim Liability $4,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. RE: Professional Services for On -Call Civil Engineering Design Services Professional Services for On -Call Civil Engineering Design Services Gilroy, CA GENERAL LIABILITY ADDITIONAL INSURED: City of Gilroy, its officers, and representatives, agents and employees. City of Gilroy Attn: Teresa Mack 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2010/05) 1 of 1 #S1500885/M1500511 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DAC Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Producer Dealey, Renton & Associates Schedule Name of Person(s) or Organization(s) City of Gilroy Attn: Teresa. Mack 7351 Rosanna Street Gilroy, CA 95020 Policy Number AZC80907290 Effective Date 10/23/2015 (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- SURED in the Business Liability Section of this policy 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability City of Gilroy, its officers, and representatives, agents and employees. arising out of your work for that insured by or for you. All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman'sFundtnsurance Companies as named in the policy Secretary AB9067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 Client#: 14742 DRAKEHAGL ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDD/YYYY) 10/2012014 (MM/DD THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS, WAIVED, subject to the terms and conditions of the policy; certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder.in, lieu of such endorsement(s). _ PRODUCER Deale ,.Renton:& Associates y CONTACT NAME: Doris A. Chambers PHONE FAX A/c Nc Ezt : 510 465 -3090 A/c No): 510 452 -2193 P. O. 60X--12675 Oakland, CA 94604 -2675 510 465 -3090 David C. Eckman E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: American Ins. Co. s2,000,000 INSURED INSURER B: American Automobile Ins. Co. 21849 Drake, Raglan &Associates, Inc. 11060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURER C: Catlin Insurance Company, Inc. $2,000,000 INSURER D: INSURER E; $4,000,000 INSURER F: PRODUCTS - COMP /OP AGG i4,000,066 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED 'NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO 'WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LI RR TYPE OF INSURANCE NSR WVD POLICY NUMBER MMM/LIDDY EFF POLICY Y LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE A OCCUR X X AZC80878380 10/23/2014 10/23/2015 OCCURRENCE s2,000,000 pEAACCHH PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC PRODUCTS - COMP /OP AGG i4,000,066 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRE D X NON -0WNED AUTOS X X AZC80878380 10/23/2014 10/23/201 COMBINED SINGLE LIMIT Ea axident 1,000,000 X BODILY INJURY (Per person) $ BODILY (Per accident) $ " X PROPERTY DAMAGE Per accident $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS-MADE X X AZC80878380 10/23/2014 1.01231201 EACH OCCURRENCE $1,000,000 AGGREGATE s2,000,000 DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 7 (Mandatory In NH) DESCRIPTION OF OPERATIONS below N/A X WZP81021983 _ 10/23/2014 10/23/2015X WC STATU- OTH- �� E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE -$1 OOO OOO. E.L. DISEASE- POLICY LIMIT J $1,000,000 C Professional Liability AED6911931015 10/23/2014 10123/201 $1,000,000 per Claim $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. RE: Professional Services for On -Call Civil Engineering Design Services Professional Services for On -Call Civil Engineering Design Services Gilroy, CA GENERAL LIABILITY ADDITIONAL INSURED: City of Gilroy, its officers, and representatives, agents and employees. City of Gilroy Attn: Teresa Mack 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1988 -2010 ACORD CORPORATION: All rights reserved ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1138311/M1138285 DAC Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Producer Dealey, Renton & Associates Schedule Name of Person(s) or Organization(s) City of Gilroy Attn: Teresa Mack 7351 Rosanna Street Gilroy, CA 95020 Policy Number AZC80878380 Effective Date 10/23/2014 (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- SURED in the Business Liability Section of this policy 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability City of Gilroy, its officers, and representatives, agents and employees. arising out of your work for that insured by or for you. All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman'sFundlnsurance Companies as named in the policy AB9067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 Client# 14742 DRAKEHAGL ACOR �,� CERTIFICATE OF LIABILITY INSURANCE 09�20�4""' PRODUCER Dealey, Renton & Associates P. O. Box 12675 Qakland,.CA 94604 -2675 510465 -3090 David C. Eckman THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING_ COVERAGE INSURED i Drake; Haglan & Associates, Inc. -11060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURERA: American Ins. CO. - •' INSURER B: American Automobile Ins. Co. INSURER c: Travelers Casualty. & Surety Co. - INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YY POLICY EXPIRATION DATE MM /DD/YY LIMITS • GENERAL LIABILITY AZC80878380 10123/13 10/23114 EACH OCCURRENCE $2,000,000 FIRE DAMAGE (Any one fire) $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY s2,000,000 X Contractual Liability Included GENERAL AGGREGATE $4.000,000 GEN'L AGGREGATE LIM ITAPPLIES PER: PRODUCTS- COMP /OPAGG $4000000 O- LOC 1-1 POLICY X PE T • AUTOMOBILE LIABILITY ANY AUTO AZC80878380 *Shared with 10/23/13 10/23/14 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 BODILY INJURY (Per person) ALL OWNED AUTOS SCHEDULED AUTOS General Liab. rxx BO DILY INJURY (Per accident) .- ..__.. $... _..._ HIREDAUTOS. NON -0WNE6`AUTOS - PROPERTY DAMAGE (Per accident) _- -- _.. GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS LIABILITY AZC80878380 10/23113 10/23/14 EACH OCCURRENCE $1.000.000 X OCCUR 17 CLAIMS MADE AGGREGATE $2 000 000 $ DEDUCTIBLE $ X RETENTION $O B WORKERS COMPENSATION AND WZP81016622 01/21/14 10/23/14 �( STATU- OTH- ORY EMPI.OYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EAEMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000 000 C OTHER Professional 106008960 10/23/13 10/23/14 $1,000,000 per Claim Liability $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. RE: Grant Funding for Forth Street Streetscape, Firth Street Streetscape and Ronan Channel Bike -Red Trail - Grant Funding for Forth Street Streetscape, Fifth Street Streetscape and Ronan Channel Bike -Ped, Gilroy, CA GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and employees CERTIFICATE HOLDER I I ADDITIONAL INSURED: INSURER LETTER: CANCELLATION City of Gilroy Attn: Don Dey 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL30 DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR AUTHORIZED ACORD 25-S (7/97)1 of 1 #S854169/M854099 DAC 0 ACORD CORPORATION 1988 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan &Associates, Inc. Policy Number AZC80878380 Producer Dealey, Renton & Associates Effective Date 10/23/13 Schedule Name of Person(s) or Organization(s) Description of Operations GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and City of Gilroy employees Ann: Don Day 7351 Rosanna Street Gilroy, CA 95020 (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- arising out of your work for that insured by or for SURED in the Business Liability Section of this policy you. 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy A89067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 Al. � President Client#- 14742 DRAKEHAGI CERTIFICATE OF LIABILITY INSURANCE 1/09/20141YY) PRODUCER Dealey, Renton & Associates P. O. Box 12675 Oakland, CA 94604 -2675 510 465 =3090 David C: Eckman - - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. - INSURERS AFFORDING COVERAGE _..... . . INSURED. - Drake,- Haglan & Associates, Inc. 1.1060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURER A: American Ins. Co. "- INSURER B: American Automobile Ins. Co: INSURER c: Travelers Casualty & Surety Co. INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR LTR TYPE INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POLICY EXPIRATION D MM/D LIMITS • GENERAL LIABILITY AZC80878380 10123113 10123/14 EACH OCCURRENCE $2,000,000 FIRE DAMAGE (Any one fire) $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FxI OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY s2,000,000 X Contractual Liability Included GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMITAPPLIESPER: PRODUCTS- COMP /OPAGG $4000000 POLICY X PE R LOC • AUTOMOBILE LIABILITY ANY AUTO AZC80878380 *Shared with 10/23/13 10123114 COMBINED SINGLE LIMIT (Ea accident) $2,000,000' BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS General Liab. X BODILY INJURY _ accident) ' HIREDAUTOS NON -OWNED AUTOS ' X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS LIABILITY AZC80878380 10123113 10123/14 EACH OCCURRENCE $1,000,000 X OCCUR FI CLAIMS MADE AGGREGATE $2,000,000 $ DEDUCTIBLE $ X RETENTION $O B WORKERS COMPENSATION AND WZP81016622 01/21114 10123/14 X wC ST MIT OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1 OOO OOO E.L. DISEASE -POLICY LIMIT $1,000,000 C OTHER Professional 106008960 10/23/13 10/23114 $1,000,000 per Claim Liability $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS /LOCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. RE: Professional Services for On -Call Civil Engineering Design Services Professional Services for On -Call Civil Engineering Design Services Gilroy, CA (See Attached Descriptions) City of Gilroy Attn: Teresa Mack 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHELEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR AUTHORIZED ACORD 25-S (7/97)1 of 2 #S854172/M854099 DAC 0 ACORD CORPORATION 1988 AMS 25.3 (07197) 2 of 2 #S854172/M854099 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Producer Dealey, Renton & Associates Schedule Name of Person(s) or Organization(s) City of Gilroy Attn: Teresa Mack 7351 Rosanna Street Gilroy, CA 95020 Policy Number AZC80878380 Effective Date 10/23/13 (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- SURED in the Business Liability Section of this policy 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability City of Gilroy, its officers, and representatives, agents and employees. arising out of your work for that insured by or for you. All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman'sFundlnsurance Companies as named in the policy Sceretart� AB9067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 Clinn4if• 4A7A9 nRAKF14Ar:I ACOROTM CERTIFICATE OF LIABILITY INSURANCE 10/21/2013 ' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton 8r Associates, P. 0. -Box 12675 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland, CA 94604 -2675 PO DLICY EXPIRATION TE MM /DD 510 465 -3090 David C. Eckman INSURERS AFFORDING COVERAGE INSURED`;" -- . -._ _ ___.. .... _.. _ ..__ _ -_ _ INSURER-A: American Ins ..-Co: , - - ...._Drake,.Haglan.& Associates, Inc. INSURER B: American Automobile Ins _;Co ,, ,,; 11060 White Rock Road, #200 -_ = -; Rancho Cordova, CA 95670 r wsURERc: Travelers Casualty -$- Surety Co. -- - -- - -- INSURER D; INSURER E: 7- FIRE DAMAGE (Any one fire) 1$1,000,000 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE LTR POLICY NUMBER POLICY DATE MM EFFEDD CTIVE /A PO DLICY EXPIRATION TE MM /DD LIMITS i A GENERAL LIABILITY AZC80878380 10/23113 10/23/14 EACH OCCURRENCE 1$2,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) 1$1,000,000 CLAIMS MADE I X OCCUR MED EXP (Any one person) 1$10,000 PERSONAL & ADV INJURY i s2,000,000 X Contractual I Liability Included GENERAL AGGREGATE 1$4,000,000 GEN'L AGGREGATE LIM ITAPPLIES PER: PRODUCTS - COMPIOPAGG 1$4,000,000 POLICY X JE� LOC A , AUTOMOBILE I LIABILITY ANY AUTO AZC80878380 *Shared with 10/23/13 10123/14 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 BODILY INJURY ! $ (Per person), _ j ALL OWNED AUTOS SCHEDULED AUTOS General Liab. '. $ _ ._.. _... _ (P.err acciden INJURY I X X HIRED AUTOS s. F >. .. _. NON OWNED AUTOS "` _ _... FROPERTYDAMAGE... -- (Per accident) .. $ rr i :.: GARAGE LIABILITY.. . .. ,- . -- - _ _ _ ., . _' - - - - -_ AUTO ONLY= EA ACCIDENT. I'$ OTHER THAN EA ACC I $ " ANY AUTO AUTO ONLY:. •AGG I $ A i EXCESS LIABILITY AZC80878380 10/23/13 10/23/14 EACH OCCURRENCE $1000000 _.. OCCUR ❑ CLAIMS MADE -- - .._...._...._..--- -I-..—�._._: AGGREGATE __t$2 001000 I$ DEDUCTIBLE Is $ X RETENTION $0 B ` WORKERS COMPENSATION AND i EMPLOYERS' LIABILITY WZP81007239 01/21113 01/21114 X WC STATU- OTH- i TORY LIMITS ER i E.L. EACH ACCIDENT 1 $1,000,000 E.L. DISEASE - EA' EMPLOYEE 1 $1,000,000 E.L. DISEASE - POLICY LIMIT 1 $1,000,000 i C 'OTHER Professional 106008960 10123/13 10/23/14 $1,000,000 per Claim Liability i j $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. RE: Professional Services,for On -Call Civil Engineering Design Services Professional Services for On -Call Civil Engineering Design Services Gilroy, CA (See Attached Descriptions) D City of Gilroy Attn: Teresa Mack 7351 'Rosanna Street Gilroy, CA 95020 ACORD 25-S (7/97)1 of '2 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES B E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3.0.- _,DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TOTH E LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSU RER JTS AGENTS OR AUTHORIZED REPRESENTA #S777066/M777044 DAC 0 ACORD CORPORATION 1988 GENERAL LIABILITY ADDITIONAL INSURED: City of Gilroy, its officers, and representatives, agents and employees. AMS 25.3 (07/97)2 of 2 #S777066/M777044 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Producer Dealey, Renton & Associates Schedule Name of Person(s) or Organization(s) City of Gilroy Attn: Teresa Mack 7351 Rosanna Street Gilroy, CA 95020 Policy Number AZC80878380 Effective Date 10/23/13 (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- SURED in the Business Liability Section of this policy 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability -City of Gilroy, its officers, and representatives, agents and employees. arising out of your work for that insured by or for YOU. All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman'sFundlnsurance Companies as named in the policy 'Secretary AB9067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 Client#• 14742 77_1:t�J,Irl ACORM CERTIFICATE OF LIABILITY INSURANCE 10/21/2013 (MMIDDIYY) PRODUCER Dealey, Renton & Associates P. O. BOX 12675 Oakland, CA 94604 -2675 510 465 -3090 David C. Eckman THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES' NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED - .. ...- . _. _. _ .,.. __. ... .- - Drake, Haglan & Associates, Inc. ,11060 White Rock Road, #200 - _ Rancho yCordova, CA 95670 INSURERA: American Ins. Co. _. .. .. . INSURERB: American Automobile Ins. Co. INSURER c: Travelers Casualty .& Surety Co. INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR i LS I TypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD6 POLICY EXPIRATION DATE MM /DD UMW A I I GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fill OCCUR X Contractual AZC80878380 10/23113 10/23/14 EACH OCCURRENCE $2,000,000 FIRE DAMAGE (Any one fire) $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2 OOO OOO Liability Included GENERAL AGGREGATE S4,000,000 GEN'L AGGREGATE LIM ITAPPLIES PER: POLICY FE PRO LOC JECT PRODUCTS - COMPIOPAGG 1$4,000,000 A ! 1 IX AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AZC80878380 *Shared with General Liab. 10/23/13 10/23/14 — COMBINED SINGLE LIMIT (Ea accident) $2,000,000* BODILY INJURY (Per person) $ X BODILY INJURY (Per ent) - PROPERTY DAMAGE (Peraccident) — — -- .._I.$ t GARAGE LIABILITY -: ANY., AUTO AUTO ONLY - FEA ACCIDENT $ OTHER THAN EAACC AUTO ONLY: AGG $ S A EX I!! CjjESS LIABILITY x OCCUR CLAIMS MADE R X DEDUCTIBLE RETENTION $O AZC80878380 10/23/13 10/23 /14 EACH OCCURRENCE $1,000,000 AGGREGATE j $2,000,000 Is $ $ B f WORKERS COMPENSATION AND I EMPLOYERS' LIABILITY i WZP81007239 01/21/13 - 01/21/14 '� X ITORYLIA�S OER i E.L. EACH ACCIDENT 1S1,000,000 E.L. DISEASE -EA EMPLOYEEI $1,000000 E.L. DISEASE - POLICY LIMIT $1;000,000 C �DTHER Professional ability 106008960 10/23/13 10/23/14 $1,000,000 per Claim $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. RE: Professional Services for On -Call Civil Engineering Design Services Professional Services for On -Call Civil Engineering Design Services Gilroy, CA (See Attached Descriptions) CERTIFICATE HOLDER I ADD ITIONALINSURED; INSURER LETTER: CANCELLATION SHOULD ANYOF THE ABOVE D ESCRIB ED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Gilroy DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL30_DAYSWRITTEN Attn: Teresa Mack NOTICETOTHE CERTIFICATE HOLDER NAMED TOTH E LEFT, BUTFAILURE TODOSOSHALL 7351 Rosanna Street IMPOSE NOOBLIGATION OR LIABILITY OF ANY FUND UPON THE INSURER,ITS AGENTS OR Gilroy, CA 95020 REPRESENTATIVES. AUTHORIZED ACORD 25-S (7197)1 of 2 #S777066/M777044 DAC © ACORD CORPORATION 1988 GENERAL LIABILITY ADDITIONAL INSURED: City of Gilroy, its officers, and representatives, agents and employees. AMS 25.3 (07197) 2 of 2 #S777066/M777044 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Producer Dealey, Renton & Associates Schedule Name of Person(s) or Organization(s) City of Gilroy Attn: Teresa Mack 7351 Rosanna Street Gilroy, CA 95020 Policy Number AZC80878380 Effective Date 10/23/13 (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- SURED in the Business Liability Section of this policy 5. The person or organization shown in the Schedule is. also an insured, but only with respect to liability City of Gilroy, its officers, and representatives, agents and employees. arising out of your work for that insured by or for you. All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman'sFundlnsurance Companies as named in the policy 016 Wt 1 Pteside.0 A139067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 C I ient #: 14742 DRAKEHAGI ACORD. CERTIFICATE OF LIABILITY INSURANCE ) POLICY EFFECTIVE DATE MM /DD/YY POLICY EXPIRATION DATE MM DD/YY LIMITS 01/22/2013 PRODUCER AZC80878380 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates P. O. Box 12675 Attn: IFW EACH OCCURRENCE ONLY HOLDER. ALTER AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND, EXTEND OR THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland, CA 94604 -2675 $10,000 PERSONAL & ADV INJURY s2,000,000 510 465 -3090 Liability Included GENERAL AGGREGATE INSURERS AFFORDING COVERAGE INSURED PRODUCTS - COMP /OPAGG INSURER A: American Ins. Co. Drake, Haglan & Associates, Inc. 11060 White Rock Road, #200 Rancho Cordova, CA 95670 A INSURER B: American Automobile Ins. Co. INSURER C: INSURER D' New Hampshire Ins. Co. 10/23/13 COMBINED SINGLE LIMIT (Ea accident) INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM /DD/YY POLICY EXPIRATION DATE MM DD/YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE EX-11 OCCUR X Contractual AZC80878380 10/23112 10/23/13 I EACH OCCURRENCE $2,000,000 FIRE DAMAGE (Any one fire) MED EXP (Any one person) $1,000,000 $10,000 PERSONAL & ADV INJURY s2,000,000 Liability Included GENERAL AGGREGATE s41000,000 GEN'L AGGREGATE LIMITAPPLIES PER : POLICY X j PRO F LOC EC� PRODUCTS - COMP /OPAGG $4000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AZC80878380 *Shared with General Liab. 10/23/12 10/23/13 COMBINED SINGLE LIMIT (Ea accident) $2,000,000- $ BODILY INJURY (Per person) X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESS LIABILITY X OCCUR F7 CLAIMS MADE DEDUCTIBLE X RETENTION $0 AZC80878380 10/23/12 10123/13 EACH OCCURRENCE $1,000,000 AGGREGATE s2,000,000 $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WZP81007239 01/21/13 01/21/14 X WCSTATU- OER T � LIMITS . _L _� $1,000,000 $1,000,000 E. L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE E.L. DISEASE - POLICYLIMIT $1,000,000 C OTHER Professional Liability 4427192601 10/23/12 10/23/13 $1,000,000 per claim $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS /LOCATIONSA/EHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of services RE: Professional Services for On -Call Civil Engineering Design Services Professional Services for On -Call Civil Engineering Design Services Gilroy, CA (See Attached Descriptions) CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Gilroy DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30DAYSWRITTEN Attn: Teresa Mack NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL 7351 Rosanna Street IMPOSE NOOBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Gilroy, CA 95020 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 -5 (7/97)1 of 2 #S505217/M505196 NMB v AL UKV L UK1 -UKA I IUN -1U00 DESCRIPTIONS (Continued from Page 1) GENERAL LIABILITY ADDITIONAL INSURED: City of Gilroy, its officers, and representatives, agents and employees. AMS 25.3 (07197) 2 of 2 #S505217/M505196 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Producer Dealey, Renton & Associates Schedule Name of Person(s) or Organization(s) City of Gilroy Attn: Teresa Mack 7351 Rosanna Street Gilroy, CA 95020 Policy Number AZC80878380 Effective Date 10/23/12 (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- SURED in the Business Liability Section of this policy 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability City of Gilroy, its officers, and representatives, agents and employees. arising out of your work for that insured by or for you. All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman'sFundinsurance Companies as named in the policy Secretar. AB9067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 &L�ALA� � Prc�;aent C I ient #: 14742 DRAKEHAGI ACORD. CERTIFICATE OF LIABILITY INSURANCE Y) POLICY EFFECTIVE DATE MM /DD/YY POLICY EXPIRATION DATE MM /DD/YY LIMITS 01/22/2013 PRODUCER AZC80878380 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates P. O. Box 12675 Attn: IFW EACH OCCURRENCE ONLY HOLDER. ALTER AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND, EXTEND OR THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland, CA 94604 -2675 $10,000 PERSONAL & ADV INJURY s2,000,000 510 465 -3090 Liability Included GENERAL AGGREGATE INSURERS AFFORDING COVERAGE INSURED Drake, Haglan & Associates, Inc. 11060 White Rock Road, #200 Rancho Cordova, CA 95670 PRODUCTS - COMP /OP AGG INSURER A: American Ins. Co. INSURER B: American Automobile Ins. Co. INSURER c: New Hampshire Ins. Co. INSURER D: -- - - - — - INSURER E: COMBINED SINGLE LIMIT (Ea accident) $2000 000* COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM /DD/YY POLICY EXPIRATION DATE MM /DD/YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY � y � CLAIMS MADE X OCCUR X Contractual AZC80878380 10/23/12 10/23/13 EACH OCCURRENCE $2,000,000 FIRE DAMAGE (Any one fire) - - — MED EXP (Any one person) $1 000000 -- - -' $10,000 PERSONAL & ADV INJURY s2,000,000 Liability Included GENERAL AGGREGATE s4,000,000 GENT AGGREGATE LIMITAPPLIES PER POLICY X I PRO F7 LOC EC� PRODUCTS - COMP /OP AGG s4,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AZC80878380 *Shared with General Llab. 10/23112 10/23/13 COMBINED SINGLE LIMIT (Ea accident) $2000 000* BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO -1 AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESS LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $0 AZC80878380 10123/12 10/23/13 EACH OCCURRENCE $1,000,000 AGGREGATE s21000,000 $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WZP81007239 01/21/13 01/21/14 )( T WCSTATU- OTH- R L-tMI — — $1,000,000 $1,000,000 E.L.EACHACCIDENT E.L. DISEASE -EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $1,000,000 C OTHER Professional Liability 4427192601 10/23/12 10/23/13 $1,000,000 per claim $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS /LOCATIONSIVEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of services RE: Grant Funding for Forth Street Streetscape, Firth Street Streetscape and Ronan Channel Bike -Red Trail - Grant Funding for Forth Street Streetscape, Fifth Street Streetscape and Ronan Channel Bike -Ped, Gilroy, CA GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and employees %,r—m 1 iri%,A I C MULUCK I I ADDITIONAL INSURED; INSURER LETTER: UANGtLLAI IUN City of Gilroy Attn: Don Dey 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL3.0DAYSWRITTEN NOMCETOTHE CERTIFICATE HOLDER NAM EDTOTHELEFT, BUTFAILURE TODOSOSHALL IM POSE NO OBLIGATION OR LIABILITYOF ANY KIND UPON THE INSURER,ITS AGENTS OR AUTHORIZED REPRESENTATIVE r+%.Ur%W ca -O Iirail'1 OT I ;;b5U5Z14 /M5U51Vb NMB W AGUKU L:UKVUKA I IUN IU&I Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Policy Number AZC80878380 Producer Dealey, Renton & Associates Effective Date 10/23/12 Schedule Name of Person(s) or Organization(s) Description of Operations GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and City of Gilroy employees Attn: Don Dey 7351 Rosanna Street Gilroy, CA 95020 (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- SURED in the Business Liability Section of this policy 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability arising out of your work for that insured by or for you. All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy i§&� _� Secretary AB9067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 President Client #: 14742 DRAKEHAGI ACORD,M CERTIFICATE OF LIABILITY INSURANCE Y) INSR LTR TYPE OF INSURANCE POLICY NUMBER 01122/2013 PRODUCER LIMITS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates P. O. Box 12675 Attn: IFW 10/23112 ONLY HOLDER. ALTER AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND, EXTEND OR THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland, CA 94604 -2675 FIRE DAMAGE (Any one fire) $1 000,000 510 465 -3090 INSURERS AFFORDING COVERAGE INSURED Drake, Haglan & Associates, Inc. 11060 White Rock Road, #200 Rancho Cordova, CA 95670 CLAIMS MADE 1XI OCCUR INSURERA: American Ins. Co. INSURER s: American Automobile Ins. Co. INSURER c: New Hampshire Ins. Co. INSURER D: — INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DAT MM /DD/YY POLICY EXPIRATION DATE MM /DD/YY LIMITS A GENERAL LIABILITY AZC80878380 10/23112 10/23/13 EACH OCCURRENCE $2,000,000 FIRE DAMAGE (Any one fire) $1 000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1XI OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY s2,000,000 X Contractual Liability Included GENERAL AGGREGATE s4,000,000 GENT AGGREGATE LIM ITAPPL IES PER: PRODUCTS - COMP /OPAGG s4,000,000 POLICY X PRO LOC A AUTOMOBILE LIABILITY ANY AUTO AZC80878380 *Shared with 10/23/12 10/23/13 COMBINED SINGLE LIMIT (Ea accident) $2,000,000- BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS General Llab. X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ A EXCESS LIABILITY X OCCUR F7 CLAIMS MADE AZC80878380 10/23/12 10/23/13 EACH OCCURRENCE $1,000,000 AGGREGATE s2,000,000 $ DEDUCTIBLE $ X RETENTION $0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WZP81007239 01/21/13 01/21/14 X WCSTATU- ER TQRY�IMITS ER E.L. EACH ACCIDENT —" $1,000,000 $1,000,000 E.L. DISEASE -EA EMPLOYEE E.L. DISEASE - POLICYLIMIT $1,000,000 C OTHER Professional 4427192601 10/23/12 10/23/13 $1,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS /LOCATIONSA/EHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of services RE: Lions Creek Trails Project Construction Services - Lions Creek Trails Project Construction Services: Kern to Wren; Wren to Farrell, Gilroy, CA (See Attached Descriptions) GEKIIFIGATE 1HULDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Gilroy DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL30DAYSWRITTEN Attn: David Stubchaer NOTICETOTHE CERTIFICATE HOLDER NAMED TOTH E LEFT, BUTFAILURE TODOSOSHALL 7351 Rosanna Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPONTHE INSURE RJTS AGENTS OR Gilroy, CA 95020 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE AGUKU Lb -5 (//9/11 of 2 #S505215/M505196 NMB © AGUKU GUKNUKA I IUN 1985 DESCRIPTIONS (Continued from Page 1) GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and employees AMS 25.3 (07/97) 2 of 2 #S505215/M505196 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Policy Number AZC80878380 Producer Dealey, Renton & Associates Effective Date 10123/12 Schedule Name of Person(s) or Organization(s) City of Gilroy Attn: David Stubchaer 7351 Rosanna Street Gilroy, CA 95020 Description of Operations RE: Lions Creek Trails Project Construction Services - Lions Creek Trails Project Construction Services: Kern to Wren; Wren to Farrell, Gilroy, CA GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and employees (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- SURED in the Business Liability Section of this policy 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability arising out of your work for that insured by or for you. All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy Secretary AB9067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 President Client#- 14742 DRAKEHAGI ACORD. CERTIFICATE OF LIABILITY INSURANCE 01/22/2013 Y) PRODUCER POLICY NUMBER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates P. O. Box 12675 Attn: IFW LIMITS ONLY HOLDER. ALTER AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND, EXTEND OR THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland, CA 94604 -2675 10/23/12 10/23/13 EACH OCCURRENCE 510 465 -3090 FIRE DAMAGE (Any one fire) REPRESENTATIVES. INSURERS AFFORDING COVERAGE INSURED INSURER A: American Ins. Co. Drake, Haglan & Associates, Inc. 11060 White Rock Road, #200 CLAIMS MADE ' X i OCCUR INSURER B: American Automobile Ins. Co. INSURER C: New Hampshire Ins. Co. Rancho Cordova, CA 95670 PERSONAL & ADV INJURY S _ INSURER D: — INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM /DD/YY POLICY EXPIRATION DATE MM /DD/YY LIMITS A GENERAL LIABILITY AZC80878380 10/23/12 10/23/13 EACH OCCURRENCE $2,000,000 FIRE DAMAGE (Any one fire) REPRESENTATIVES. X COMMERCIAL GENERAL LIABILITY $1,000,000 CLAIMS MADE ' X i OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY s2,000,000 X Contractual Liability Included GENERAL AGGREGATE s4,000,000 GEN'L AGGREGATE LIM ITAPPLIES PER: PRODUCTS - COMP /OP AGG s4,00 000 POLICY X PRO LOC JECT • AUTOMOBILE LIABILITY ANY AUTO AZC80878380 "Shared with 10/23112 10/23/13 COMBINED SINGLE LIMIT (Ea accident) $2,000,000* BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS General Llab. X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $__ ANY AUTO $ AUTO ONLY: AGG • EXCESS LIABILITY AZC80878380 10/23/12 10/23/13 EACH OCCURRENCE $1,000, 000 AGGREGATE s2,000,000 X OCCUR El CLAIMS MADE $ DEDUCTIBLE $ X RETENTION $0 B WORKERS COMPENSATION AND WZP81007239 01121/13 01/21/14 X WCSTJMIT _ OTH- IORMIT S __ ER - E.L. EACH ACCIDENT $1,000,000 " EMPLOYERS'LIABILITY E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICYLIMIT $1,000,000 C OTHER Professional 4427192601 10/23/12 10/23/13 $1,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of services RE: Uvas Creek Trail Project Construction Management - Uvas Creek Trail Project Construction Management, Gilroy, CA (See Attached Descriptions) CERTIFICATE HOLDER I I ADD ITIONAL INSURED; INSURER LETTER: l.ANt'CLLA I Ivry SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION City of Gilroy DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL30DAYSWRITTEN Attn: David Stubchaer NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHELEFT, BUTFAILURE TODOSOSHALL 7351 Rosanna Street IMPOSE NOOBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURE R,ITS AGENTS OR Gilroy, CA 95020 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 -5 (7197)1 of 2 #S505216/M505196 ryrylt:$ U M%.vnu �rv­ wn ,auu DESCRIPTIONS (Continued from Page 1) GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, and representatives, agents and employees AMS 25.3 (07/97) 2 of 2 #S505216/M505196 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Policy Number AZC80878380 Producer Dealey, Renton & Associates Effective Date 10123/12 Schedule Name of Person(s) or Organization(s) Description of Operations City of Gilroy GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, and representatives, agents and employees Attn: David Stubchaer 7351 Rosanna Street Gilroy, CA 95020 (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- SURED in the Business Liability Section of this policy 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability arising out of your work for that insured by or for you. All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy Secretary AB9067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 �A I �A &A �� E L President CI ient #: 14742 DRAKEHAGI ACORD,. CERTIFICATE OF LIABILITY INSURANCE 01/22/2013 ) PRODUCER TYPE OF INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates P. O. Box 12675 Attn: IFW LIMITS ONLY HOLDER. ALTER AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND, EXTEND OR THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland, CA 94604 -2675 10/23112 10/23113 EACH OCCURRENCE 510 465 -3090 FIRE DAMAGE (Any one fire) $1}0001000 _ INSURERS AFFORDING COVERAGE INSURED INSURER A: American Ins. Co. Drake, Haglan & Associates, Inc. 11060 White Rock Road, #200 Rancho Cordova, CA 95670 CLAIMS MADE 41 OCCUR INSURER e: American Automobile Ins. Co. INSURER C: New Hampshire Ins. Co. INSURER D: PERSONAL & ADV INJURY INSURER E: X Contractual COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM /DD POLICY EXPIRATION DATE MM /DD/YY LIMITS A GENERAL LIABILITY AZC80878380 10/23112 10/23113 EACH OCCURRENCE $2,000,000----- FIRE DAMAGE (Any one fire) $1}0001000 _ COMMERCIAL GENERAL CLAIMS MADE 41 OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2,000,000 X Contractual Liability Included GENERAL AGGREGATE s4,000,000 GENT AGGREGATE LIM ITAPPLIES PER: PRODUCTS - COMP /OPAGG s4,000,000 POLICY X PR� 7 LOC A AUTOMOBILE LIABILITY ANY AUTO AZC80878380 Shared with 10/23/12 10/23/13 COMBINED SINGLE LIMIT (Ea accident) $2,000,000- BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS General Llab. X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO - $ AUTO ONLY: AGG A EXCESS LIABILITY X OCCUR CLAIMS MADE AZC80878380 10/23/12 10/23/13 EACH OCCURRENCE $1,000,000 AGGREGATE s2,0001000 $ DEDUCTIBLE $ X RETENTION $0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WZP81007239 01/21113 01/21/14 X WCSTATT CH- I T RY I T ER E.L. EACH ACCIDENT $1,000,(]00 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT 1$1,000,000 C OTHER Professional 4427192601 10/23/12 10/23/13 $1,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS /LOCATIONSA/EHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of services RE: Ronan Channel and Lions Creek Trails Project in the City of Gilroy Proposal No. 12- RFP -PW -356 (See Attached Descriptions) VCR I IrIt,A I C rIULUCK I I ADDITIONAL INSURED: INSURER LETTER: GANGtLLA I IUN City of Gilroy: Purchasing Division Attn: Inga Alonzo 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL 10(piRki=x)V MAIL 30_ _DAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BKJMFAJUfR)MJQJMJJXkXXXX E�1HQ6R XEpXNXJPRJIXXKU7JQXEPJakX11R 701RX AUTHORIZED REPRESENTATIVE At,VKU ca -a lIryI11 OT Z if55U5Z13/M5U5196 NMB u AL UKU t.LJKI-UKA I IUN IV615 DESCRIPTIONS (Continued from Page 1) GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and employees AMS 25.3 (07/97) 2 of 2 #S505213/M505196 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Producer Dealey, Renton & Associates Schedule Name of Person(s) or Organization(s) City of Gilroy: Purchasing Division Attn: Inga Alonzo 7351 Rosanna Street Policy Number AZC80878380 Effective Date 10/23/12 Description of Operations RE: Ronan Channel and Lions Creek Trails Project in the City of Gilroy Proposal No. 12- RFP -PW -356 GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and employees (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- arising out of your work for that insured by or for SURED in the Business Liability Section of this policy you. 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy Secretary AB9067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 V\Al,r,a� F President Client#: 14742 DRAKEHAGI ACORD,M CERTIFICATE OF LIABILITY INSURANCE 9/12/2012 PRODUCER Dealey, Renton & Associates P. O. Box 12675 Attn: IFW Oakland, CA 94604 -2675 510 465 -3090 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Drake, Haglan & Associates, Inc. 11060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURER A: American Ins. Co. INSURER B: American Automobile Ins. Co. INSURER c: New Hampshire Ins. Co. INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE M D POLICY EXPIRATION A M LIMITS • GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx—] OCCUR X Contractual AZC80844655 10123/11 10123 /12 EACH OCCURRENCE $2.000.000 FIRE DAMAGE (Any one fire) $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY s2,000,000 Liability Included GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIM ITAPPLIES PER: POLICY X PRO- LOC PRODUCTS- COMP /OPAGG $4000000 • AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON - OWNEDAUTOS AZC80844655 *Shared with the General Liability 10/23/11 10/23/12 COMBINED SINGLE LIMIT (Ea accident) $2,000,000" BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESS LIABILITY X1 OCCUR FI CLAIMS MADE DEDUCTIBLE X RETENTION $0 AZC80844655 10/23/11 10/23/12 EACH OCCURRENCE $1.000.000 AGGREGATE s2,000,000 $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WZP80998934 01/21/12 01/21/13 X JTWC STATU- OTH- E.L. EACH ACCIDENT $110001000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT 1 $1,000,000 C OTHER Professional ILlability 44271926 10/23/11 10/23/12 $1,000,000 per claim $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS /LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services. RE: Uvas Creek Trail Project Construction Management - Uvas Creek Trail Project Construction Management, Gilroy, CA (See Attached Descriptions) City of Gilroy Attn: David Stubchaer 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDERNAM ED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE A ,UKU Za-a Inyi17 of 2 #5JVU3771M3U926U NMB W A9,UKU L.UKrUKAI IUIN ItIOU AMS 25.3 (07/97) 2 of 2 #S390317/M309260 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Policy Number AZC80844655 Producer Dealey, Renton & Associates Effective Date 10/23/11 Schedule Name of Person(s) or Organization(s) Description of Operations City of Gilroy GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, and representatives, agents ty y and employees Attn: David Stubchaer 7351 Rosanna Street Gilroy, CA 95020 (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- arising out of your work for that insured by or for SURED in the Business Liability Section of this policy you. S. The person or organization shown in the Schedule All other terms and conditions of the policy apply. is also an insured, but only with respect to liability This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy _��k _� - - Secretary A69067 12 -93 Contains copyrighted Material of Insurance ServicesOtfice, Inc., 1984 President Client #: 14742 DRAKEHAGI ACOR CERTIFICATE OF LIABILITY INSURANCE ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 1011812012 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates P. O. Box 12675 Attu: IFW ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland, CA 94604 -2675 LIMITS 510 465 -3090 INSURERS AFFORDING COVERAGE INSURED INSURER A: American Ins. Co. Drake, Haglan & Associates, Inc. 11060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURER B: American Automobile Ins. Co. INSURER C: New Hampshire Ins. Co. INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DAT MM/ lYY POLICY EXPIRATION D MM /DDlYY LIMITS • GENERAL LIABILITY AZC80878380 10/23/12 10/23/13 EACH OCCURRENCE $2,000,000 FIRE DAMAGE (Anyone fire) $1,000,000 X COMMERCIALGENERALLIABILITY CLAIMS MADE Fx_] OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2,000,000 X Contractual Liability Included GENERAL AGGREGATE s41000,000 GEN'L AGGREGATE LIM ITAPPL IES PER: PRODUCTS - COMP /OPAGG $4,000,000 POLICY PROT- LOC • AUTOMOBILE LIABILITY ANYAUTO AZC80878380 *Shared with 10/23112 10/23/13 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS General LJab. X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS LIABILITY AZC80878380 10/23/12 10/23/13 EACH OCCURRENCE $1,000,000 X OCCUR 17 CLAIMS MADE AGGREGATE _ s2,000,000 $ DEDUCTIBLE I $ x RETENTION $O B WORKERS COMPENSATION AND WZP80998934 01/21/12 01121/13 X_ WCSTATU- OFIR E.L. EACH ACCIDENT — $1,000,000 EMPLOYERS' LIABILITY E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 C OTHER Professional 4427192601 10/23/12 10/23/13 $1,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS /LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services. RE: Professional Services for On -Call Civil Engineering Design Services Professional Services for On -Call Civil Engineering Design Services Gilroy, CA (See Attached Descriptions) CERTIFICATE HOLDER I I ADDITIONAL INSURED: INSURER LETTER: CANCELLATION City of Gilroy Attn: Teresa Mack 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL30DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TOTH E LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR AUTHORIZED REPRESENTATIVE AGUKU Zb -b ( /1y /)1 of 2 #S429684/M429668 PBS O AGUKU UUKPUKA I JUN 1 VUS GENERAL LIABILITY ADDITIONAL INSURED: City of Gilroy, its officers, and representatives, agents and employees. AMS 25.3 (07197) 2 of 2 #5429684/M429668 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Producer Dealey, Renton & Associates Schedule Name of Person(s) or Organization(s) City of Gilroy Attn: Teresa Mack 7351 Rosanna Street Gilroy, CA 95020 Policy Number AZC80878380 Effective Date 10/23/12 (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- SURED in the Business Liability Section of this policy 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability City of Gilroy, its officers, and representatives, agents and employees. arising out of your work for that insured by or for you. All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman'sFundinsurance Companies as named in the policy �� -� �t� Secretary AB9067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 CIA President Client#: 14742 DRAKEHAGI ACOR CERTIFICATE OF LIABILITY INSURANCE POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR LTR TYPE OF INSURANCE POLICY NUMBER 10/18/2012 PRODUCER LIMITS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates P. O. Box 12675 Attn: IFW 10/23/12 ONLY HOLDER. ALTER AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND, EXTEND OR THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland, CA 94604 -2675 FIRE DAMAGE (Any one fire) $1,000,000 510 465 -3090 INSURERS AFFORDING COVERAGE INSURED CLAIMS MADE a OCCUR INSURERA: American Ins. Co. Drake, Haglan & Associates, Inc. 11060 White Rock Road, #200 Rancho Cordova, CA 95670 MED EXP (Any one person) INSURER B: American Automobile Ins. Co. INSURER C: New Hampshire Ins. Co. INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM /DD/Y`( POLICY EXPIRATION DATE MM /DD/YY LIMITS • GENERAL LIABILITY AZC80878380 10/23/12 10/23113 EACH OCCURRENCE $2,000,000 FIRE DAMAGE (Any one fire) $1,000,000 X COMM ERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY s2,000,000 X Contractual Liability Included GENERAL AGGREGATE s4,000,000 GEN'L AGGREGATE LIMITAPPLIESPER: PRODUCTS- COMP /OPAGG $4000000 7POLICY 7 PRO LOC • AUTOMOBILE LIABILITY ANY AUTO AZC80878380 *Shared with 10/23/12 10/23/13 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS General Liab. X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS LIABILITY AZC80878380 10/23/12 10/23/13 EACH OCCURRENCE $1,000,000 X OCCUR El CLAIMS MADE AGGREGATE s2,000,000 $ DEDUCTIBLE $ X RETENTION $0 B WORKERS COMPENSATION AND WZP80998934 01/21/12 01121/13 �( WC STATU- OTH- EMPLOYERS' LIABILITY E.L EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C OTHER Professional 4427192601 10/23/12 10/23/13 $1,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services. RE: Uvas Creek Trail Project Construction Management - Uvas Creek Trail Project Construction Management, Gilroy, CA (See Attached Descriptions) City of Gilroy Attn: David Stubchaer 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL30DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TOTH E LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR AUTHORIZED REPRESENTATIVE At,UKU za-a r;rro //1 of 2 95429683/M429668 PBS v At+UKU 1,UKrUKA I IUN TJ88 GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, and representatives, agents and employees AMS 25.3 (07/97) 2 of 2 #S429683/M429668 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Policy Number AZC80878380 Producer Dealey, Renton & Associates Effective Date 10/23/12 Schedule Name of Person(s) or Organization(s) Description of Operations GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, and representatives, agents City of Gilroy and employees Attn: David Stubchaer 7351 Rosanna Street Gilroy, CA 95020 (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- arising out of your work for that insured by or for SURED in the Business Liability Section of this policy you. 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy i§d� _� �� - Secretary A69067 12 -93 Contains copyrighted Material of Insurance 5ervicesOffice, Inc., 1984 �Alhd � f � arc k-) President Client#: 14742 ��7_13�J[rl ACO CERTIFICATE OF LIABILITY INSURANCE ' MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 101812012 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates P. O. Box 12675 Attn: IFW ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland, CA 94604 -2675 LIMITS 510 465 -3090 INSURERS AFFORDING COVERAGE INSURED INSURER A: American Ins. Co. Drake, Haglan & Associates, Inc. 11060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURER B: American Automobile Ins. Co. INSURER C: New Hampshire Ins. Co. INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM /DD/YY POLICY EXPIRATION DATE MM /DD/YY LIMITS • GENERAL LIABILITY AZC80878380 10/23112 10/23/13 EACH OCCURRENCE $2,000,000 _ FIRE DAMAGE (Any one fire) $1,0 01000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FXI OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY s2,000,000 X Contractual Liability Included GENERAL AGGREGATE s4,000,000 GEN'L AGGREGATE LIM ITAPPLIES PER: PRODUCTS - COMP /OPAGG $4 000 000 ,7 POLICY PRO JECT LOC • AUTOMOBILE LIABILITY ANY AUTO AZC80878380 *Shared with 10/23/12 10/23/13 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS General Liab. X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS LIABILITY AZC80878380 10/23/12 10/23/13 EACH OCCURRENCE $1,000,000 X OCCUR M CLAIMS MADE AGGREGATE s2,000,000 $ DEDUCTIBLE $ X RETENTION $0 B WORKERS COMPENSATION AND WZP80998934 01/21/12 01/21 113 ATU X TTWOCSTRY IMIf OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C OTHER Professional 4427192601 10/23/12 10/23/13 $1,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services. RE: Lions Creek Trails Project Construction Services - Lions Creek Trails Project Construction Services: Kern to Wren; Wren to Farrell, Gilroy, CA (See Attached Descriptions) City of Gilroy Attn: David Stubchaer 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANYOFTH EABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ _DAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAM EDTOTHELEFT, BUTFAILURE TODOSOSHALL IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR AUTHORIZED REPRESENTATIVE Av,UKv ZO-a t /1VI)l of 2 #5429652/M429568 P135 (9 At UML) 9-UKP Urw I Ivn TyBif AMS 25.3 (07/97) 2 of 2 #S429682/M429668 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Producer Dealey, Renton & Associates Schedule Name of Person(s) or Organization(s) City of Gilroy Attn: David Stubchaer 7351 Rosanna Street Gilroy, CA 95020 Policy Number AZC80878380 Effective Date 10/23/12 Description of Operations RE: Lions Creek Trails Project Construction Services - Lions Creek Trails Project Construction Services: Kern to Wren; Wren to Farrell, Gilroy, CA GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy its officers, representatives, agents and employees (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- arising out of your work for that insured by or for SURED in the Business Liability Section of this policy you. 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy i§d� -� Secretary AB9067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 President L`Ii —+1 • 4A7A*7 nPAW1: 1e(r1 ACOR CERTIFICATE OF LIABILITY INSURANCE ' MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 101812012 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton 8r Associates P. O. Box 12675 Attn: IFW ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland, CA 94604 -2675 LIMITS 510 465 -3090 INSURERS AFFORDING COVERAGE INSURED INSURER A: American Ins. Co. Drake, Haglan & Associates, Inc. 11060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURER B: American Automobile Ins. Co. INSURER C: New Hampshire Ins. Co. INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM /DD/YY POLICY EXPIRATION DATE MM /DD/YY LIMITS • GENERAL LIABILITY AZC80878380 10/23/12 10/23/13 EACH OCCURRENCE $2,000,000 FIRE DAMAGE (Any one fiire) $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FXI OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2 000 000 X Contractual Liability Included GENERAL AGGREGATE s4,000,000 GEN'L AGGREGATE L IM ITAPPL IES PER: PRODUCTS - COMP /OPAGG s4,000,000 POLICY JPEC LOC • AUTOMOBILE LIABILITY ANY AUTO AZC80878380 *Shared with 10/23112 10/23/13 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS General Liab. X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS LIABILITY AZC80878380 10/23/12 10/23/13 EACH OCCURRENCE $1,000,000 X OCCUR FI CLAIMS MADE AGGREGATE s2,000,000 $ DEDUCTIBLE $ X RETENTION $0 B WORKERS COMPENSATION AND WZP80998934 01/21/12 01/21/13 X TORY LIMIT OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT 1 $1,000,000 C OTHER Professional 4427192601 10/23/12 10123/13 $1,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS /LOCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services. RE: Ronan Channel and Lions Creek Trails Project in the City of Gilroy Proposal No. 12- RFP -PW -356 (See Attached Descriptions) CERTIFICATE HOLDER I I ADDITIONAL INSURED: INSURER LETTER: CANCELLATION City of Gilroy: Purchasing Division Attn: Inga Alonzo 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL %J(J 5ffi%% pMAIL30_ _DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHELEFT, B1 titlDAWp7lgCxiQ7Q7p761a711(XxXX eo►eJaax xewcencxxxxxxn�mxoe�x�l x�ac AUTHORIZED REPRESENTATIVE AL:UKU za -b (nyi)1 of 2 #S429681/M429668 PBS 0 AL;UKU L:UKVUKA I IUN IVtSb GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and employees AMS 25.3 (07/97) 2 of 2 #S429681/M429668 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Producer Dealey, Renton & Associates Schedule Name of Person(s) or Organization(s) City of Gilroy: Purchasing Division Attn: Inga Alonzo 7351 Rosanna Street Policy Number AZC80878380 Effective Date 10/23/12 Description of Operations RE: Ronan Channel and Lions Creek Trails Project in the City of Gilroy Proposal No. 12- RFP -PW -356 GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and employees (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- SURED in the Business Liability Section of this policy 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability arising out of your work for that insured by or for you. All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy Secretary AB9067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 �A -� President L`Iinn+A- IA7A7 1".1 A3=1'r_Tel I ACORD. CERTIFICATE OF LIABILITY INSURANCE 10/25/2012 PRODUCER Dealey, Renton & Associates P. O. Box 12675 Attn: IFW Oakland, CA 94604 -2675 510 465 -3090 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Drake, Haglan & Associates, Inc. 11060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURER A: American Ins. Co. INSURER B: American Automobile Ins. Co. INSURER c: New Hampshire Ins. Co. INSURER D: INSURER E: CAVFRAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM /DD POLICY EXPIRATION DATE M DD LIMITS A GENERAL LIABILITY AZC80878380 10/23112 10123/13 EACH OCCURRENCE $2,000,000 FIRE DAMAGE (Any one fire) $1000000 X COMMERCIALGENERALLIABILITY MED EXP (Any one person) $10,000 CLAIMS MADE FX_1 OCCUR PERSONAL & ADV INJURY s2,000,000 X Contractual Liability Included GENERAL AGGREGATE s4,000.000 GENT AGGREGATE LIMITAPPLIES PER: PRODUCTS - COMP /OPAGG s4,000,000 POLICY 7 PROT- LOC A AUTOMOBILE LIABILITY ANY AUTO AZC80878380 *Shared with 10/23/12 10/23113 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS General Liab. X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY . EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS LIABILITY AZC80878380 10/23/12 10/23/13 EACH OCCURRENCE $1,000,000 AGGREGATE $2 000 000 X OCCUR FI CLAIMS MADE _ $ DEDUCTIBLE $ X RETENTION $0 B WORKERS COMPENSATION AND WZP80998934 01/21/12 01121/13 X WCSTATIj OTH- TORY E.L. EACH ACCIDENT $1,000,000 EMPLOYERS' LIABILITY E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT 1 $1,000,000 C OTHER Professional 4427192601 10/23/12 10/23/13 $1,000,000 per claim iability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services. RE: Grant Funding for Forth Street Streetscape, Firth Street Streetscape and Ronan Channel Bike -Red Trail - Grant Funding for Forth Street Streetscape, Fifth Street Streetscape and Ronan Channel Bike -Ped, Gilroy, CA GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and employees AD City of Gilroy Attn: Don Dey 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TOT14E LEFT, BUTFAILURE TODOSOSHALL IMPOSE NOOBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURE R,ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD 25 -S (7197)1 of 1 #S435586/M429668 NMB v A%,VKW %,VmruF%m I 'vim raoo Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Producer Dealey, Renton & Associates Schedule Name of Person(s) or Organization(s) City of Gilroy Attn: Don Dey 7351 Rosanna Street Gilroy, CA 95020 Policy Number AZC80878380 Effective Date 10/23/12 Description of Operations GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and employees (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- SURED in the Business Liability Section of this policy S. The person or organization shown in the Schedule is also an insured, but only with respect to liability arising out of your work for that insured by or for you. All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy Secretary AB9067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 President